Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,273.50 / $5,408.00 / $9,685.00	Facility		$2,273.50	$5,408.00	$9,685.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.75 / $6,619.50 / $10,860.55	Facility		$1,763.75	$6,619.50	$10,860.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,214.70 / $1,961.31 / $15,169.00	Facility		$1,214.70	$1,961.31	$15,169.00
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $2,442.64 / $16,840.24 / $16,840.24	Facility	52	$2,442.64	$16,840.24	$16,840.24
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $1,908.31 / $13,156.44 / $13,156.44	Facility	62	$1,908.31	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $305.33 / $2,105.03 / $2,105.03	Facility	AS	$305.33	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $3,560.00 / $10,316.00 / $16,841.00	Facility		$3,560.00	$10,316.00	$16,841.00